Group climate in a stress discussion group for medical interns

In order to better characterize group process, the short form of the Group Climate Questionnaire (GCQS) was used to study a stress discussion group for medical interns. This group was found to be significantly different from a normative psychotherapy group sample along three major dimensions: Engaged, Avoiding and Conflict. The group members were cohesive, involved and open, yet respectful of each other's privacy. These results are discussed with respect to the group's goals and leadership.The authors thank George Fein, Ph.D., for statistical assistance.     

Replicating the five factor model of personality in a psychiatric sample

In this study we examined whether the factor structure and traits of the five-factor model of personality (FFM), derived from non-clinical samples, could be replicated in a sample of psychiatric patients. The revised NEO Personality Inventory (NEO PI-R) was administered to a study group of psychiatric patients (n=176). The test scores from these patients were intercorrelated, factor analyzed and the obtained factor structure was then compared to the factor structure of the normative data from the NEO PI-R. The factor structure from the psychiatric study group and that from the normative sample were virtually identical, with all five factors showing significant congruence. These results argue favorably for the clinical applicability of the FFM with psychiatric patients.     

Group process in short-term outpatient therapy groups for schizophrenics

The short form of the group climate questionnaire (GCQ-S) was used to evaluate process in three 12-session therapy groups for outpatient schizophrenics. Results showed no difference on the Engaged dimension between the short-term schizophrenic groups and either a normative sample of outpatient neurotic groups or the first 26 sessions of a long-term outpatient schizophrenic group. However, the short-term groups scored significantly lower (p<.001) on the Avoiding and Conflict dimensions as compared with either long-term sample. The session-to-session GCQ-S dimension pattern did not support the presence of sequential group stages, but there was a tendency for the Engaged scores to increase and the Avoiding and Conflict scores to decrease as time went on.The authors gratefully acknowledge K. Roy MacKenzie, M.D., and Don Brown, M.D., for their helpful comments regarding this paper. Parts of this paper were presented in a poster session at the American Group Psychotherapy Association Annual Meeting in New York, February 8–12, 1988.     

Parent Ratings of Attention-Deficit/Hyperactivity Disorder Symptoms: Factor Structure and Normative Data

Changes in the diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) have necessitated the creation of new measures for clinical assessment. The factor structure of a parent rating scale containing the 18 symptoms of ADHD was examined in this study. Factor analyses and assessment of differences in ADHD ratings across sex, age, and ethnic group were conducted using a sample of 4666 participants ranging in age from 4 to 20 years old who attended kindergarten through 12th grade in 22 school districts across the United States. Two factors (Inattention and Hyperactivity–Impulsivity) were derived and normative data for a nationally representative sample are presented. A higher frequency of ADHD symptoms was found for boys, younger children, and African-American participants. Potential uses of this scale in clinical practice and research are discussed.     

Process and Content in a Therapy Group for Bipolar Outpatients

Although the literature suggests that homogeneous therapy groups are useful for bipolar outpatients, little is known about the process in such groups. Using the GCQ-S and a content analysis of discussion topics, we evaluated group process during the first 31 sessions of an outpatient bipolar group. Compared with normative samples, our group scored significantly higher in the Engaged dimension and significantly lower in the Avoiding and Conflict dimensions and in the anxiety/tension scale. Furthermore, 81% of the discussion topics were related to the three group goals, and an additional 18% dealt with general group issues such as orienting new members and attendance. The results from this pilot study suggest that bipolar patients can discuss relevant issues in a homogeneous group environment that is cohesive, open, and safe.     

Action Dynamics in Intertemporal Choice Reveal Different Facets of Decision Process

Two experiments were conducted to examine decision process in intertemporal choice with spatial and temporal action dynamic measures generated from cursor movement. The effects of the context valence (gain and loss) and magnitude of the payoffs (small and large) were investigated. Other factors examined were differences between decisions made at versus away from the indifference point and response variability dependent on what was selected (delayed versus non‐delayed/less‐delayed payoff). Using principal components analysis, decision process is described with three orthogonal components. General decision difficulty is encompassed by two components: (1) Conflict, depicted by Idle time and deviations from a direct choice path, and (2) decision uncertainty or Wavering, described by left‐right directional flips. A general Locomotion factor was also present. In Experiment 1, Conflict was best at capturing the gain/loss and magnitude context effects. Greater Conflict was observed in the loss context and the small magnitude condition. When choices were closer to the indifference point, Wavering was most salient. In Experiment 2, when selecting larger, delayed payoffs, both Conflict and Wavering increased suggesting that controlling the temptation of selecting the sooner, smaller reward entails effort. By analyzing trajectories, the study advances knowledge of the construct validity of different action dynamic measures and supports the distinction of decision uncertainty and decision conflict. Copyright © 2015 John Wiley & Sons, Ltd.     

Group climate in an open-ended cancer support group

A number of well-described, controlled studies assessing cancer support group intervention support their effectiveness. All of these experimental groups have been close-ended and typically involve six to eight weekly sessions. Because many cancer patients are unable or unwilling to participate in closed, extended-session groups, there is particular need for analysis of the effectiveness of short-term, open-ended groups. Additionally, objective measures are needed to delineate the factors contributing to a successful outcome in cancer support groups. We used the Short Form of the Group Climate Questionnaire (GCQ-S) to characterize 23 sessions in an open-ended, short-term, Veterans Hospital based cancer support group. The cancer group scored significantly lower on the Avoiding and Conflict dimensions (p<.001) compared to a normative psychotherapy group sample. There was no difference on the Engaged dimension. This pilot study suggests that a cancer support group in this setting can create an environment where members are cohesive and take responsibility for their own change process, while keeping interpersonal conflict to a minimum. Based on these preliminary findings, we encourage controlled clinical trials examining the efficacy of open-ended cancer support groups.At the time of this study, Dr. Daroff was a resident in Psychiatry, University of California, San Francisco.     

The impact of conventional versus robust norming on cognitive characterization and clinical classification of MCI and dementia

We examined the impact of conventional versus robust normative approaches on cognitive characterization and clinical classification of MCI versus dementia. The sample included participants from the National Alzheimer's Coordinating Center Uniform Data Set. Separate demographically adjusted z-scores for cognitive tests were derived from conventional (n = 4273) and robust (n = 602) normative groups. To assess the impact of deriving scores from a conventional versus robust normative group on cognitive characterization, we examined likelihood of having a low score on each neuropsychological test. Next, we created receiver operating characteristic (ROC) curves for the ability of normed scores derived from each normative group to differentiate between MCI (n = 3570) and dementia (n = 1564). We examined the impact of choice of normative group on classification accuracy by comparing sensitivity and specificity values and areas under the curves (AUC). Compared with using a conventional normative group, using a robust normative group resulted in a higher likelihood of low cognitive scores for individuals classified with MCI and dementia. Comparison of the classification accuracy for distinguishing MCI from dementia did not suggest a statistically significant advantage for either normative approach (Z = −0.29, p = .77; AUC = 0.86 for conventional and AUC = 0.86 for robust). In summary, these results indicate that using a robust normative group increases the likelihood of characterizing cognitive performance as low. However, there is not a clear advantage of using a robust over a conventional normative group when differentiating between MCI and dementia.     

Lasting Effects of Alcohol on the Reduction of Anxiety in Rats

A factor analysis was performed combining HSPQ forms A and B scores from a group of high school males (N = 1504) and a group of high school females (N + 1255). Eight factors were extracted and rotated from each of the two groups. It was found that the resulting factor patterns were both clearer (had better simple structure) and more closely matched the second order factor structure found among adults than previous HSPQ structures. These results supported the contention that (a) there are comparable second order personality factors between adults and high school students, and (b) since the factor pattern was similar to patterns found previously, the primary factors tend to be stable.     

The psychometric properties of the Quality of Life Inventory in an Australian community sample

The Quality of Life Inventory (QOLI, Frisch) is an importance‐weighted measure of life satisfaction that has been found to possess adequate psychometric properties in US and clinically‐based samples. The current study aimed to investigate the normative distribution, factor structure and key psychometric properties of the QOLI in an Australian general community sample. Results indicated that the Australian sample (n = 259) reported slightly better quality of life than the US‐based standardisation sample. Confirmatory factor analyses showed that a three‐factor model provided the best fit for the data. Psychometric properties were all generally found to be adequate and close to Frisch's reported levels. In conclusion, this study indicated that the QOLI may be used in the Australian context with confidence. Future research could examine the clinical utility of the three‐factor model.     

Normative indications for Xhosa speaking unskilled workers on the Rey–Osterrieth Complex Figure Test

The aim of this study was to establish normative indications for the Rey-Osterrieth Complex Figure (RCF) copy, incidental recall and delayed recall tasks, administered in English on a non-clinical population of Xhosa, unskilled workers (N?=?33) (females n?=?21; males n?=?12), with a background of relatively disadvantaged quality of education up to Grades 11 and 12. The sample was stratified into two age groupings (18 – 29 years, n?=?17; 30 – 40 years, n?=?16), equally distributed for sex and level of education. Within group statistical analyses compared subgroup test performances for sex and age within the total sample. Between group analyses were used to compare the performance of the present sample with age equivalent data derived from a meta-analysis of US normative data on the RCF task. There was an age effect in favour of the younger group for both the immediate and delayed recall tasks. The local data for all RCF tasks were significantly lower than the US normative data, with the indication that higher levels and/or quality of formal school education might advantage performance on this complex visuoperceptual copy and recall task.     

Identity Processing Styles and Psychosocial Balance during Early and Middle Adulthood: The Role of Identity in Intimacy and Generativity

Identity styles and Eriksonian psychosocial balance were examined in young adults (N = 163; 64.4% women) and middle-aged adults (N = 132; 51.5% women). Participants completed self-report measures of identity styles (informational, normative, and diffuse-avoidant), identity commitment, and psychosocial balance (identity, intimacy, and generativity). Different patterns of psychosocial balance were found for each identity style, with largely consistent findings across age groups. The diffuse-avoidant style was negatively associated with all forms of psychosocial balance, the normative style was positively associated with identity and intimacy balance, and the informational style was positively associated with intimacy and generativity. Structural equation modeling revealed that identity balance predicted both intimacy and generativity for the diffuse-avoidant style (negative prediction) and normative style (positive prediction), whereas the informational style provided direct positive prediction of intimacy and generativity. The importance of an informational identity style for psychosocial balance during both early and middle adulthood is discussed.     

The American image of beauty: Media representations of hair color for four decades

The present archival study examined the depiction of women's beauty in our society with respect to hair color, especially blondeness. Raters reliably categorized the hair color of cover models for two women's magazines (Ladies Home Journal and Vogue) and for Playboy magazine centerfolds from the 1950s through the 1980s. These media images from 750 observations were compared among magazines, among decades, and in relation to the proportion of blondes in a normative sample of adult White women. Results revealed that the percentage of blondes in each magazine exceeded the base rate of blondes in the norm group. Blondes were more prevalent in Playboy centerfolds than in the women's magazines. Although temporal patterns varied from magazine to magazine, the average proportion of blondes was lowest in the 1960s and highest in the 1970s. The study's findings have numerous implications for social issues and research regarding the psychology of physical appearance.The authors wish to thank Jill Grant for her assistance in conducting this research.     

More than One Way to Get There: Pathways of Change in Coparenting Conflict after a Preventive Intervention

This study explored pathways of change in the levels of conflict couples experienced after Supporting Father Involvement, an evidence‐based, prevention‐oriented couples and parenting intervention that included a diverse low‐income and working class group of participants. Pathways of change were examined for couples with baseline conflict scores that were initially low, medium, and high. The growth mixture model analysis found that the best‐fitting model for change in couples' conflict was represented by three distinctly different change patterns. The intervention was most successful for High‐Conflict couples. This finding contributes to a growing literature examining variations in how relationships change over time and the process of change, especially for couples in distress. This study supports further investigation into the impact and costs associated with universal interventions versus those that target specific groups of higher risk families.     

Maternal attitudes during pregnancy predict mother-infant physical proximity six months after birth

The purpose of this study was to develop an instrument for assessing maternal attitudes. Three photographs representing infants or mother-infant dyads were presented to 26 mothers in the second half of pregnancy and six months after birth. Nine mothers were clinical cases, seventeen mothers were nonpathological controls. Thirty-three semantic categories were used to code the mothers' responses to the pictures. Mothers' responses were coded independently by two researchers. The factor analysis of the codes yielded an ‘attraction to, vs rejection of, children’ factor. Compared with the control group, the mean factor score of the clinical group was significantly lower, i. e. reflected less attraction (p < 0.01). To study the relation between the attraction factor and the physical proximity of mothers and infants, 21 of these mother-infant dyads were videotaped in a semi-structured play interaction six months after birth. Recordings were coded independently by two researchers for various indices of proximity (spatial proximity, kisses, embraces, touches). The factor analysis of the codes yielded a factor contrasting distant vs close and tender interaction. A significant correlation was found between the attraction scores of pregnant women and the proximity scores of mother-infant interaction (r = 0.46; p < 0.05). These results suggest that this instrument is useful in assessing maternal attitudes of psychiatrically disturbed pregnant women and that maternal attitudes of pregnant women are significant predictors of physical proximity in motherinfant interaction at the end of the first semester.     

Deviancy and Normative Training Processes in Experimental Groups of Delinquent and Nondelinquent Male Adolescents

The goal of this study was to identify the predictors and the moderators of group characteristics that influence deviancy and normative training processes in delinquent male adolescents. The authors experimentally tested the effects of group composition on deviant talk interaction processes among groups in which all members presented delinquent behaviors (“pure” delinquent group condition), those that included adolescents with no delinquent behaviors (“pure” normative group condition), and adolescents with both profiles (“mixed” group condition). Participants were 70 male adolescents aged 15–18 (M = 16.5; 56% Caucasian), with a random assignment to groups. Data were collected among three group sessions (T1, T2, T3), one session a week, using videotape. Two contents of interactions were also measured: antisocial and normative stories, counterbalanced across sessions. Results showed a significant group effect for antisocial talk and its reinforcement, with less antisocial talk within the mixed group condition in comparison to the pure delinquent group condition. The topic of interaction was also observed as a predictor of antisocial talk, with less normative interactions and more antisocial talk associated with antisocial topics. Finally, time moderated some relations between experimental groups and talk. We conclude with a discussion of the implications of this work for future research on deviancy training processes. Aggr. Behav. 39:30‐44, 2013. © 2012 Wiley Periodicals, Inc.     

Romantic Physical Affection Types and Relationship Satisfaction

College students (N = 295, 100 men, 195 women) responded to a questionnaire examining their preferences and attitudes regarding romantic physical affection (PA) types and relationship satisfaction (sexual intimacy is excluded from the scope of this study). The seven PA types examined are backrubs/massages, caressing/stroking, cuddling/holding, holding hands, hugging, kissing on the lips, and kissing on the face (not lips). In general, PA is found to be highly correlated with relationship and partner satisfaction as is suggested by prior research. Respondents' attitudes regarding the seven PA types are given in ordinal data (with gender differentiation) across the dimensions favorite, frequent, intimate, and expressive of love. Those respondents currently involved in romantic relationships provided information as to the average amounts of each PA type they engage in per week. These amounts were significantly correlated with relationship and partner satisfaction for all PA types except holding hands and caressing/stroking. Conflict resolution was generally found to be easier with more PA, but the amount of conflict was irrespective of PA. Conflict was resolved easier with increasing amounts of cuddling/holding (p < .01), kissing on the lips (p < .01), and hugging (p < .05). The implications of these findings are discussed.

     

The Development of Physical Aggression from Toddlerhood to Pre-Adolescence: A Nation Wide Longitudinal Study of Canadian Children

The objectives of the study were to model the developmental trajectories of physical aggression (PA) from toddlerhood to pre-adolescence and to identify risk factors that distinguish typical (normative) from atypical developmental patterns. Ten cohorts of approximately 1,000 children (n = 10,658) drawn form a nationally representative (Canadian) sample were followed over 6 years. Using a group based trajectory approach, we identified three groups of children with distinct developmental trajectories between 2 and 11 years of age. One third of the children (31.1%) followed a low desisting trajectory, reflected in infrequent use of PA in toddlerhood and virtually no PA by pre-adolescence. The majority of children (52.2%) followed a moderate desisting trajectory, reflected in occasional use of PA in toddlerhood and infrequent use by pre-adolescence. One sixth of the children (16.6%) followed a high stable trajectory of PA. Multivariate logistic regression indicated that children in the high PA trajectory group were more likely to be boys (OR: 1.67; CI: 1.5–1.87), from low income families (OR: 1.4; CI; 1.27–1.67), from families where the mother had not completed high school (OR: 1.20; CI: 1.05–1.38) and who reported using hostile/ineffective parenting strategies (OR: 1.16; CI: 1.14–1.18). In sum, the results indicate that the typical developmental pattern of PA was one of occasional and declining use over time. However, about one sixth of children, mostly boys from disadvantaged families, exhibited an atypical developmental pattern reflected in more frequent and stable use of PA. The results suggest that most children learned relatively well to inhibit PA by the end of childhood and that a minority failed to do so. Family risks traditionally found to be associated with antisocial behaviors during adolescence appear to interfere with the socialization of PA during early and middle childhood.     

Investigating the motivations underlying harmful social behaviors and the motivational nature of social norms

The present research applies a self‐determination theory framework to capture the broad spectrum of reasons why individuals engage in harmful normative behaviors. This correlational study (N = 242) focused on harmful behaviors that were either supported by one's in‐group or not. Participants whose in‐group encourages them to engage in a harmful behavior reported stronger motivation, both self‐determined and non‐self‐determined. Perceiving strong in‐group norms in favor of these behaviors was associated positively with the non‐self‐determined motivation pertaining to introjected regulation. The more participants agreed with an in‐group norm in favor of a harmful behavior, the stronger their self‐determination for engaging in this behavior. Results are discussed in light of self‐determination theory, normative models of social influence, and intergroup theories.